Zultracet Tramadol 20 Tablets

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Medicine

Detail Description

Zultracet Tablets Specification

Requires Prescription:
✅ Yes

Generics

  • Tramadol HCl

  • Paracetamol

Used For

  • Moderate to severe pain

  • Pain & inflammation

How It Works

🔹 Tramadol HCl

  • A non-selective opioid agonist with greater affinity for µ-opioid receptors

  • Also inhibits norepinephrine reuptake and enhances serotonin release

  • Provides central analgesic and antitussive (cough suppressant) effects

🔹 Paracetamol

  • Exerts a central analgesic effect likely through activation of descending serotonergic pathways

  • May involve prostaglandin synthesis inhibition or cannabinoid receptor modulation

Dosage

  • As prescribed by a physician depending on severity of pain and patient profile

  • Typical dose: 37.5 mg Tramadol + 325 mg Paracetamol per tablet

Side Effects

🟠 Very Common (≥1 in 10 people):

  • Nausea

  • Dizziness

  • Drowsiness

🟡 Common (≤1 in 10):

  • Vomiting, constipation, flatulence, diarrhea

  • Dry mouth, stomach pain

  • Itching, excessive sweating

  • Headache, tremors

  • Confusion, sleep issues

  • Mood changes (anxiety, euphoria, nervousness)

🔵 Uncommon (≤1 in 100):

  • Irregular heartbeat or high BP

  • Tingling/numbness, muscle twitching, tinnitus

  • Depression, nightmares, hallucinations

  • Memory issues

  • Difficulty breathing or swallowing

  • Blood in stools

Drug Interactions

❌ Avoid with or use cautiously:

  • Carbamazepine

  • Other opioids (buprenorphine, codeine, morphine, nalbuphine, pentazocine)

  • SSRIs, Triptans

  • Baclofen, benzodiazepines

  • Certain antidepressants

  • Warfarin or phenprocoumon

  • Metoclopramide, Domperidone, Ondansetron

  • Cholestyramine

Indications

  • Moderate to severe pain where dual-action analgesia is needed

When Not to Use

Do not use if:

  • Allergic to Tramadol, Paracetamol, or any component

  • Acute alcohol poisoning

  • Already taking sleeping pills, mood-affecting drugs, or strong painkillers

  • Taking or recently used MAOIs (within 14 days)

Precautions

⚠️ Opioids should be used only under prescription

  • Never share this medicine

  • Avoid increasing dosage/frequency without medical advice

  • Long-term use may lead to addiction, dependence, or overdose

Warnings

🔺 Warning 1:

  • Use cautiously if you have a history of epilepsy or seizures

  • Avoid if you've had a head injury, shock, or severe headache with vomiting

🔺 Warning 2:

  • Regular or long-term use can lead to opioid addiction

  • Your doctor should guide you on when and how to stop safely

🔺 Warning 3:

  • If you have liver disease, use only with medical supervision

  • Watch for symptoms like yellowing of eyes/skin (jaundice)

Pregnancy Category

  • Not recommended during pregnancy or lactation unless absolutely necessary

  • Consult your physician before use

Storage

✅ Store at room temperature
❌ Keep away from direct sunlight, moisture, and heat